HYPNOSIS IN ACCIDENT AND EMERGENCY DEPARTMENTS LESS MEDICATION, SAVING TIME

We have practiced hypnosis in the emergency department and during pre-hospital care at the Centre Hospitalier Régional de Metz-Thionvillein France since 2012 for the management of acute pain and stress.Hypnosis is mainly used during the realisation of invasive medical care, for example: making sutures in children and adults, resetting articular dislocations, installing thoracic drains, realising lumbar punctures, and the installation of peripheral venous catheters…In pre-hospital care, hypnosis helps to manage the pain and stress of myocardial infarction during transport and before the realisation of coronary angiography as well as for road accidents ... ultimately for all acute pain and stress.We also use hypnotic communication in the French emergency SAMU call centre 15 orthe European 112. It is important to manage the stress of the caller in order to have the correct information for the emergency situation, aiming to help people practice emergency gestures like cardiac massage.A strong message was transmitted to the annual congress of the French Society of Emergency Medicine (SFMU) through a workshop whose goal was to convince emergency physicians to train in hypnosis and has taken place since 2014.In 2017, the SFMU gave a clear message, by recommending hypnosis as a complementary practice in emergency care.In emergencies, the practice of hypnosis is aided by the reduction of patient’s resistance and is a technique which is quick and easy to implement. It brings a sense of well-being and reassurance to patients and a better comfort to emergency doctors in their daily work.How to practice hypnosis in emergencies and why it s easier What happens in the brain when you are in an hypnotic trance What happens in the brain in a hypnotic trance when you have acute pain What can we change in the brain with hypnosis when you have acute pain